Global burden of smokeless tobacco (SLT) use
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1 |
National Institute of Cancer Prevention and Research, WHO FCTC Global Knowledge Hub on Smokeless Tobacco, India |
2 |
Healis - Sekhsaria Institute of Public Health, India |
3 |
National Cancer Institute, United States of America |
4 |
National Institute of Cancer Prevention and Research, India |
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A563
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ABSTRACT
Background:
Global burden of smokeless tobacco use among
adults and adolescents has not been updated after NCI report 2013.
Methods:
Most recent prevalence of smokeless tobacco use
among adults was collected from standard surveillance system. Number of SLT
users were calculated by corresponding age group population from UN statistics.
Most recent prevalence of smokeless tobacco use among adolescent (13-15 years)
was collected from Global Youth Tobacco Survey and numbers were calculated in
the same way for adolescents also.
Results:
One in 10 adults use smokeless tobacco in one or
another form. Prevalence of SLT use is higher among males (10.8%) as compared
to females (5.7%).Prevalence of smokeless tobacco use among in SEAR is higher
than smoking. In 129 (72% of the Parties) countries 357 million adult SLT users
live. Nearly 93% of adult
SLT burden is borne by Low resource countries (Low Middle Income Countries (LMIC)
and Low Income Countries (LIC). Over 80% burden is in South East Asia Region (SEAR).
In 103 countries 12.2 million adolescent (13-15
years) use SLT. Of these 82.5% live in LIC and LMICs. Nearly 60% of adolescent
users live in SEAR, 13% in African Region and 12% in Eastern Mediterranean
region (EMR).Prevalence of current smoking was higher than current SLT use in
all regions except SEAR where prevalence of SLT use was higher than smoking. Prevalence
of SLT use varied from 1.2% in Western Pacific region to 8.2% in SEAR among
adolescent aged 13-15 years.
Conclusions:
The epicenter of smokeless tobacco use burden
among adult and adolescent is low resource countries (LMIC and LIC) and
especially countries in SEAR. Policy interventions in such countries should
include SLT.